Minor Breeders Permit Application

Minor Breeders Permit Application
A minor breeder is:
1. Any person who intentionally or unintentionally causes the breeding of one (1) cat or dog or makes one (1) cat or dog available for breeding purposes in a 12-month period; and/or
2. Any person who offers for sale, sells, trades, receives other compensation or gives away any offspring of one (1) litter of dogs or cats; and/or
3. Any owner or person having custody of a dog or cat that has delivered a litter or caused the delivery of a litter. (Sec. 5-68)
Want to learn more about breeders permits and regulations? Please see sections 5-68 “Minor breeders permit; regulation” & 5-69 “Breeder permit regulations” of the Municipal Code.

If you breed more than one animal and/or one litter a year, please disregard this form and fill out the Breeder's Permit Form
Your Information
Name

First NameMiddle NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com

Describe Animal(s)

Rows	Name	Breed	Sex	Age	Colors
1
2

Photo Submission

You are required to submit pictures of your breeding animals, litters, and living area to SBARC. Please let us know if you are going to come in-person to submit photos, otherwise you will be directed to upload them on this form.
Instead of submitting photos, I would like to request an in-person inspection by an Animal Welfare Officer
I will come in-person to submit pictures of my breeding setup instead of submitting them online.

Submit Photos

If you are submitting photos through the form, you may do so here.
Pictures
Photo Uploads

Cancelof

Signature
I hereby make an application to operate as a minor breeder within the city limits of South Bend. I have not been convicted of cruelty to animals and affirm the information I have given on this application is true and correct.
Printed Name

First NameLast Name
Should be Empty:

Your Information